Emotional numbing is the inability to feel emotions. In DDD patients, this may be observed on a spectrum. It often manifests as a loss of affection, pleasure, fear, or disgust. Sometimes it's an absolute inability to experience emotional states and other times it's a more subtle impairment (unable to experience emotional feelings that normally color perception and mental activity). An inability to perceive objects or concrete situations with emotional feeling, rather than a general inability to experience emotional states is also seen. Cognitive empathy is intact, but affective empathy is impaired.